Abdullah GEDİK, Ali TUTUŞ, Devrim KAYAN, Kamuran BİRCAN

Ateşli silah ile penis ve skrotum yaralanması ve başarılı tamiri

Kırk yedi yaşında erkek hasta silah ile yaralanmadan 3 saat sonra acil servisimize başvurdu. Hastada geniş skrotal defekt vardı. Her iki testis ve korpus kavernozum yaralanmıştı. Üretra ve korpus spongiosum tamamen kopmuştu. Opere edilerek penisteki yaralanması onarılan hastanın postoperatif 6. haftada yapılan kontrolünde hasta sonuçtan memnun olduğunu ve ereksiyonların devam ettiğini belirtti. Tek yakınması glans penisteki hafif his kaybı idi. Genital yaralanmaların tedavisinde testis ve penisin korunması için tüm olasılıklar değerlendirilmelidir.

Succesful repair of penil and scrotal gunshot injury

A 47 year-old male patient attended to our emergency clinic 3 hours after gunshot injury. There was a wide defect in scrotal area, each testicle and each corpus cavernous was injured and corpus spongiosum and urethra was totally disrupted. Right testicle was orchiectomised left one was repaired. We also repaired each cavernosal bodies, urethra and spongiosum as anastomosed in end to end style. In postoperative 6 weeks control patient was happy with outcome and declared that he had normal erections. His only complaint was slight loss of sensation in glans penis. In the treatment of genital injuries all possibilities should be considered in order to preserve the penis and testicles.

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